Loading…

Relative Tolerance to Upper- and Lower-Limb Aerobic Exercise in Patients with Peripheral Arterial Disease

To investigate the effects of peripheral arterial disease (PAD) on relative tolerance to upper- and lower-limb aerobic exercise. Peak cardiorespiratory responses evoked by an incremental arm-cranking test (ACT) and an incremental leg-cranking test (LCT) were compared in patients with PAD (N=101; med...

Full description

Saved in:
Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2006-02, Vol.31 (2), p.157-163
Main Authors: Zwierska, I., Walker, R.D., Choksy, S.A., Male, J.S., Pockley, A.G., Saxton, J.M.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3
cites cdi_FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3
container_end_page 163
container_issue 2
container_start_page 157
container_title European journal of vascular and endovascular surgery
container_volume 31
creator Zwierska, I.
Walker, R.D.
Choksy, S.A.
Male, J.S.
Pockley, A.G.
Saxton, J.M.
description To investigate the effects of peripheral arterial disease (PAD) on relative tolerance to upper- and lower-limb aerobic exercise. Peak cardiorespiratory responses evoked by an incremental arm-cranking test (ACT) and an incremental leg-cranking test (LCT) were compared in patients with PAD (N=101; median age 69 year, range 50–85 years). Claudication distance (CD) and total distance before intolerable claudication pain (maximum walking distance: MWD) were also assessed during walking. Peak oxygen consumption (V˙O2) for the ACT was 94% of that measured for the LCT (1.01±0.03 versus 1.10±0.03lmin−1, respectively; P
doi_str_mv 10.1016/j.ejvs.2005.06.025
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70683125</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1078588405004284</els_id><sourcerecordid>70683125</sourcerecordid><originalsourceid>FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3</originalsourceid><addsrcrecordid>eNp9kEtLAzEYRYMotj7-gAvJyt2MeTQzGXBT6hMKiug65PENTZnOjMm06r83tQV3rnITzr2Qg9AFJTkltLhe5rDcxJwRInJS5ISJAzSmgrOM0UIcpkxKmQkpJyN0EuOSJJBycYxGtCCVqDgdI_8KjR78BvBb10DQrQU8dPi97yFkWLcOz7vPFOd-ZfAUQme8xXdfEKyPgH2LX1Ib2iHiTz8s8AsE3y_SToOnYUiXFG4TqSOcoaNaNxHO9-cper-_e5s9ZvPnh6fZdJ5ZXskhc7qUstaGi4pILUXhalMaIgAck47LSphKcOsqyeoJnbDa2LJgxgnCRXqy_BRd7Xb70H2sIQ5q5aOFptEtdOuoSlJITplIINuBNnQxBqhVH_xKh29FidoKVku1Fay2ghUpFPktXe7X12YF7q-yN5qAmx0A6Y8bD0FFmwRZcD6AHZTr_H_7P0yojSQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70683125</pqid></control><display><type>article</type><title>Relative Tolerance to Upper- and Lower-Limb Aerobic Exercise in Patients with Peripheral Arterial Disease</title><source>Elsevier:Jisc Collections:Elsevier Read and Publish Agreement 2022-2024:Freedom Collection (Reading list)</source><creator>Zwierska, I. ; Walker, R.D. ; Choksy, S.A. ; Male, J.S. ; Pockley, A.G. ; Saxton, J.M.</creator><creatorcontrib>Zwierska, I. ; Walker, R.D. ; Choksy, S.A. ; Male, J.S. ; Pockley, A.G. ; Saxton, J.M.</creatorcontrib><description>To investigate the effects of peripheral arterial disease (PAD) on relative tolerance to upper- and lower-limb aerobic exercise. Peak cardiorespiratory responses evoked by an incremental arm-cranking test (ACT) and an incremental leg-cranking test (LCT) were compared in patients with PAD (N=101; median age 69 year, range 50–85 years). Claudication distance (CD) and total distance before intolerable claudication pain (maximum walking distance: MWD) were also assessed during walking. Peak oxygen consumption (V˙O2) for the ACT was 94% of that measured for the LCT (1.01±0.03 versus 1.10±0.03lmin−1, respectively; P&lt;0.001), but in a significant proportion of patients (35%; P&lt;0.001), exceeded that recorded for the LCT. The ratio of upper- to lower-limb peak V˙O2 was higher (0.98±0.04 compared to 0.98±0.05lmin−1 and 1.00±0.06 compared to 1.21±0.06lmin−1; P&lt;0.01), whereas walking performance (CD: 94±14 versus 187±25m, P&lt;0.01; MWD: 227±20 versus 394±33m, P&lt;0.01) was lower for patients in the lowest ankle to brachial pressure index quartile compared to patients in the highest quartile, respectively. Upper-limb aerobic conditioning could be a useful exercise stimulus for maintaining or improving cardiorespiratory function in patients with severe PAD as they have a greater relative upper-limb aerobic power.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/j.ejvs.2005.06.025</identifier><identifier>PMID: 16095931</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Aged, 80 and over ; Blood Pressure ; Exercise Therapy ; Exercise Tolerance ; Extremities ; Female ; Heart Rate ; Humans ; Intermittent claudication ; Intermittent Claudication - physiopathology ; Lactic Acid - blood ; Male ; Middle Aged ; Oxygen Consumption ; Pulmonary Gas Exchange ; Pulmonary Ventilation ; Upper-limb exercise ; Walking</subject><ispartof>European journal of vascular and endovascular surgery, 2006-02, Vol.31 (2), p.157-163</ispartof><rights>2005 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3</citedby><cites>FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16095931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zwierska, I.</creatorcontrib><creatorcontrib>Walker, R.D.</creatorcontrib><creatorcontrib>Choksy, S.A.</creatorcontrib><creatorcontrib>Male, J.S.</creatorcontrib><creatorcontrib>Pockley, A.G.</creatorcontrib><creatorcontrib>Saxton, J.M.</creatorcontrib><title>Relative Tolerance to Upper- and Lower-Limb Aerobic Exercise in Patients with Peripheral Arterial Disease</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><description>To investigate the effects of peripheral arterial disease (PAD) on relative tolerance to upper- and lower-limb aerobic exercise. Peak cardiorespiratory responses evoked by an incremental arm-cranking test (ACT) and an incremental leg-cranking test (LCT) were compared in patients with PAD (N=101; median age 69 year, range 50–85 years). Claudication distance (CD) and total distance before intolerable claudication pain (maximum walking distance: MWD) were also assessed during walking. Peak oxygen consumption (V˙O2) for the ACT was 94% of that measured for the LCT (1.01±0.03 versus 1.10±0.03lmin−1, respectively; P&lt;0.001), but in a significant proportion of patients (35%; P&lt;0.001), exceeded that recorded for the LCT. The ratio of upper- to lower-limb peak V˙O2 was higher (0.98±0.04 compared to 0.98±0.05lmin−1 and 1.00±0.06 compared to 1.21±0.06lmin−1; P&lt;0.01), whereas walking performance (CD: 94±14 versus 187±25m, P&lt;0.01; MWD: 227±20 versus 394±33m, P&lt;0.01) was lower for patients in the lowest ankle to brachial pressure index quartile compared to patients in the highest quartile, respectively. Upper-limb aerobic conditioning could be a useful exercise stimulus for maintaining or improving cardiorespiratory function in patients with severe PAD as they have a greater relative upper-limb aerobic power.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Pressure</subject><subject>Exercise Therapy</subject><subject>Exercise Tolerance</subject><subject>Extremities</subject><subject>Female</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Intermittent claudication</subject><subject>Intermittent Claudication - physiopathology</subject><subject>Lactic Acid - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oxygen Consumption</subject><subject>Pulmonary Gas Exchange</subject><subject>Pulmonary Ventilation</subject><subject>Upper-limb exercise</subject><subject>Walking</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLAzEYRYMotj7-gAvJyt2MeTQzGXBT6hMKiug65PENTZnOjMm06r83tQV3rnITzr2Qg9AFJTkltLhe5rDcxJwRInJS5ISJAzSmgrOM0UIcpkxKmQkpJyN0EuOSJJBycYxGtCCVqDgdI_8KjR78BvBb10DQrQU8dPi97yFkWLcOz7vPFOd-ZfAUQme8xXdfEKyPgH2LX1Ib2iHiTz8s8AsE3y_SToOnYUiXFG4TqSOcoaNaNxHO9-cper-_e5s9ZvPnh6fZdJ5ZXskhc7qUstaGi4pILUXhalMaIgAck47LSphKcOsqyeoJnbDa2LJgxgnCRXqy_BRd7Xb70H2sIQ5q5aOFptEtdOuoSlJITplIINuBNnQxBqhVH_xKh29FidoKVku1Fay2ghUpFPktXe7X12YF7q-yN5qAmx0A6Y8bD0FFmwRZcD6AHZTr_H_7P0yojSQ</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Zwierska, I.</creator><creator>Walker, R.D.</creator><creator>Choksy, S.A.</creator><creator>Male, J.S.</creator><creator>Pockley, A.G.</creator><creator>Saxton, J.M.</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>Relative Tolerance to Upper- and Lower-Limb Aerobic Exercise in Patients with Peripheral Arterial Disease</title><author>Zwierska, I. ; Walker, R.D. ; Choksy, S.A. ; Male, J.S. ; Pockley, A.G. ; Saxton, J.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Pressure</topic><topic>Exercise Therapy</topic><topic>Exercise Tolerance</topic><topic>Extremities</topic><topic>Female</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Intermittent claudication</topic><topic>Intermittent Claudication - physiopathology</topic><topic>Lactic Acid - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oxygen Consumption</topic><topic>Pulmonary Gas Exchange</topic><topic>Pulmonary Ventilation</topic><topic>Upper-limb exercise</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zwierska, I.</creatorcontrib><creatorcontrib>Walker, R.D.</creatorcontrib><creatorcontrib>Choksy, S.A.</creatorcontrib><creatorcontrib>Male, J.S.</creatorcontrib><creatorcontrib>Pockley, A.G.</creatorcontrib><creatorcontrib>Saxton, J.M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zwierska, I.</au><au>Walker, R.D.</au><au>Choksy, S.A.</au><au>Male, J.S.</au><au>Pockley, A.G.</au><au>Saxton, J.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relative Tolerance to Upper- and Lower-Limb Aerobic Exercise in Patients with Peripheral Arterial Disease</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>2006-02</date><risdate>2006</risdate><volume>31</volume><issue>2</issue><spage>157</spage><epage>163</epage><pages>157-163</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>To investigate the effects of peripheral arterial disease (PAD) on relative tolerance to upper- and lower-limb aerobic exercise. Peak cardiorespiratory responses evoked by an incremental arm-cranking test (ACT) and an incremental leg-cranking test (LCT) were compared in patients with PAD (N=101; median age 69 year, range 50–85 years). Claudication distance (CD) and total distance before intolerable claudication pain (maximum walking distance: MWD) were also assessed during walking. Peak oxygen consumption (V˙O2) for the ACT was 94% of that measured for the LCT (1.01±0.03 versus 1.10±0.03lmin−1, respectively; P&lt;0.001), but in a significant proportion of patients (35%; P&lt;0.001), exceeded that recorded for the LCT. The ratio of upper- to lower-limb peak V˙O2 was higher (0.98±0.04 compared to 0.98±0.05lmin−1 and 1.00±0.06 compared to 1.21±0.06lmin−1; P&lt;0.01), whereas walking performance (CD: 94±14 versus 187±25m, P&lt;0.01; MWD: 227±20 versus 394±33m, P&lt;0.01) was lower for patients in the lowest ankle to brachial pressure index quartile compared to patients in the highest quartile, respectively. Upper-limb aerobic conditioning could be a useful exercise stimulus for maintaining or improving cardiorespiratory function in patients with severe PAD as they have a greater relative upper-limb aerobic power.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>16095931</pmid><doi>10.1016/j.ejvs.2005.06.025</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1078-5884
ispartof European journal of vascular and endovascular surgery, 2006-02, Vol.31 (2), p.157-163
issn 1078-5884
1532-2165
language eng
recordid cdi_proquest_miscellaneous_70683125
source Elsevier:Jisc Collections:Elsevier Read and Publish Agreement 2022-2024:Freedom Collection (Reading list)
subjects Aged
Aged, 80 and over
Blood Pressure
Exercise Therapy
Exercise Tolerance
Extremities
Female
Heart Rate
Humans
Intermittent claudication
Intermittent Claudication - physiopathology
Lactic Acid - blood
Male
Middle Aged
Oxygen Consumption
Pulmonary Gas Exchange
Pulmonary Ventilation
Upper-limb exercise
Walking
title Relative Tolerance to Upper- and Lower-Limb Aerobic Exercise in Patients with Peripheral Arterial Disease
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T09%3A17%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relative%20Tolerance%20to%20Upper-%20and%20Lower-Limb%20Aerobic%20Exercise%20in%20Patients%20with%20Peripheral%20Arterial%20Disease&rft.jtitle=European%20journal%20of%20vascular%20and%20endovascular%20surgery&rft.au=Zwierska,%20I.&rft.date=2006-02&rft.volume=31&rft.issue=2&rft.spage=157&rft.epage=163&rft.pages=157-163&rft.issn=1078-5884&rft.eissn=1532-2165&rft_id=info:doi/10.1016/j.ejvs.2005.06.025&rft_dat=%3Cproquest_cross%3E70683125%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c398t-da788fab35908a856dfb7b05eed28d3895b953cd982f4142fbc762bd503582fc3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=70683125&rft_id=info:pmid/16095931&rfr_iscdi=true